As we emerge from the holiday season, we pass through a period of resolutions. Usually, this involves promises to ourselves and our families to eat less, to exercise more, and to curb drinking, smoking, and other toxic habits.

The consequences of obesity and toxic lifestyle habits are evident in the rates of diabetes and coronary artery disease, especially on Staten Island.

To derive a long-term benefit from a diet or exercise program, the effort must be a long-term commitment. Stick with your resolution. Stay away from fad diets and dietary supplements that promise the world without a scientific basis. Have reasonable goals. Don’t promise you’re going to eat celery sticks if you hate celery. Don’t resolve never to eat a morsel of bread again if you’re the type to have four slices of bread with each meal.

For most overweight patients, a mild-moderate exercise program is safe, accompanied by caloric and carbohydrate restriction. If you have any questions about safety, ask your doctor. If additional counseling is indicated, you might be referred to a nutritionist.

Medications are necessary for a variety of conditions, but there is no substitute for a balanced diet and exercise program tailored to a patient’s preferences and co-morbidities. Make 2013 the year you visited your doctor and made a commitment to your health.